Provider Demographics
NPI:1407581895
Name:CULLERS, RACHEL LICHU (MSN, APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LICHU
Last Name:CULLERS
Suffix:
Gender:F
Credentials:MSN, APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 SOUTHRIDGE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-4284
Mailing Address - Country:US
Mailing Address - Phone:817-406-1500
Mailing Address - Fax:817-928-5692
Practice Address - Street 1:LIFE'S MEDICINE
Practice Address - Street 2:700 E SOUTHLAKE BLVD, SUITE 130
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:817-328-0331
Practice Address - Fax:817-251-9429
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088010363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology